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STUDENT SIGN UP FORM

Players Name:

Age at May 1, 2021:

# of years playing hockey:

Last level played:

Parents Name:

Phone #:

Email add #1:

Email add #2:

Number of years you have trained with Conroy Hockey?

Minor Hockey Org you played for last year?

Program(s) you are interested in:

What would you like to see them improve at:

#	2021 Programs
YES	Spr/Summ Group 1	April to Aug	$ 660.00 +GST limit 27 kids
YES	Spr/Summ Group 2	April to Aug	$ 660.00 +GST limit 27 kids
YES	Spr/Summ Group 3	April to Aug	$ 660.00 +GST limit 27 kids
YES	Off-ice Training	June, July & Aug	$ 250.00 +GST limit 20 kids
YES	2021 Defense Level 1	July 5 - 9	$ 210.00 +GST limit 16 kids
YES	2021 Forward Level 1	July 12 - 16	$ 210.00 +GST limit 16 kids
YES	2021 Checking Skills 1	July 19 -23	$ 210.00 +GST limit 16 kids
YES	2021 Defense Level 1 (class 2)	July 26 – 30	$ 210.00 +GST limit 16 kids
YES	2021 Defense Level 2	Aug 9 - 13	$ 210.00 +GST limit 16 kids
YES	Carstairs Week	Aug 16 - 20	Variable (see schedule)
YES	Ness Week	August 23 - 27	Variable (see schedule)
YES	Private Tutoring	by design and quote.
YES	Team/Organization Train	by design and quote.

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Family Discounts: I like to reduce costs for families; the discount applies to all charges.

✔ 2 members of immediate family 5.0 % (for both kids)
✔ 3 members or more 7.5 % (for all 3 kids)

For more information please e-mail me coach@conroyhockey.ca or call my cell 587-888-1097